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Home My WebLink AboutBLD2006-00446 •BUILDING PERMIT APPLICA•N MLA06-00433 Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00446 Received Date: 8/1/2006 SITE ADDRESS: 4952 DABOB RD QUILCENE, 98376 OWNER: PHILIP R MILLER PHONE: 509-994-5486 COLLEEN E MILLER PO BOX 95 BRINNON WA 98320 SUBDIVISION: Block: Lot: PARCEL NUMBER: 701051017 Section: 5 Township: 27 N Range: 01 W CONTRACTOR: SITE SERVICES LLC PHONE: 360-542-8301 1500 Es COLLEGE WAY STE A-289 MT VERNON WA 98373 Contractor's License SITESSL945CZ Expires 2/9/2008 REPRESENTATIVE: SITE SERVICES LLC PHONE: 360-542-8301 1500 E COLLEGE WAY STE A-289 360-854-0536 MT VERNON WA 98273 PROJECT DESCRIPTIOF NEW DECK 10x20 TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 4,738.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: GARAG OTHER: SHORELINE: CONST TYPE: DECKLE 200 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routi q D,-atte: • )I (4 Type Amount Paid By: Date: Receipt: Approved/Date Permit $111.25 CJZ 08/01/06 83932 Plan Check $72.31 CJZ 08/01/06 83932 APPROVE D State Building Code $4.50 CJZ 08/01/06 83932 SEP Is 2006 Total: $188.06 Jefferson County Pianniny & Building Department • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00446 Received Date 08/1/2006 SITE ADDRESS: 4952 DABOB RD Issue Date 09/18/2006 QUILCENE, 98376 APPLICANT: PHILIP R MILLER PHONE: 509-994-5486 COLLEEN E MILLER PO BOX 95 BRINNON WA 98320 SUBDIVISION: Block: Lot: TX 21 PARCEL NUMBER: 701051017 Section: 5 Township: 27 N Range: 01 W CONTRACTOR: SITE SERVICES LLC PHONE: 360-542-8301 1500 E COLLEGE WAY STE A-289 MT VERNON WA 98373 360-854-0536 Contractor's License: SITESSL945CZ Expires: 2/9/2008 PROJECT DESCRIPTION: NEW DECK 10x20 CALL IN FOR THE RQUIRED� INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: 'I t UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval MUST be obtained befo'e final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: `I—I �L G HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE REVERSE SPECIAL CONDITIONS FOR CASE A BLD06-00446 • 1.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 2.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 3.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 4.) Minimum setback from Dabob Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum rear(north) setback shall be 100 feet from the commercial forest lands per administrative variance granted on September 6, 2006. 5.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 6.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 7.) The building height is not to exceed 35 feet. 8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. I:\F_BLD_Permit_Buildng.rpt 10/29/19 g�oly o oo JEFFERON COUNTY • r �'� r3 DEPARTMENT OF COMMUNITY DEVELOPMENT ~' � 621 Sheridan Street• Port Townsend • Washington 98368 -9'(ii U Vim`'I[) 360/379-4450 • 360/379-4451 Fax )l 1� qS, x ' c' www.co.jefferson.wa.us/commdevelopment /I Master Permit Application MLA: 0(c) 433 Project Description(include separate sheets as necessary): 1 t-t) SDI X zar beck JIEEERSON COUNTY BCC Tax Parcel Property Number: 701051017 Size: 2.72 a (acres/square feet) Site Address and/or Directions to Property: 4952 Dabob Road,Quilcene,WA 98376 Property Owner(s)of Record: Phillip&Colleen Miller Telephone:509-994-5486 Fax: email: Mailing Address: PO Box 95,Brinnon,WA 98320 Applicant/Agent(if different from owner): Cindie Charles,Site Services LLC Telephone: 360-542-8301 or 360-661-2914 Fax:360-854-0536 email: cindie@siteservicesllc.us Mailing Address: 1500 E College Way,Suite A-289 Mount Vernon,WA 98273-5637 What kind of Permit?(Check each box that applies) 'Building I Variance(Minor,Major or Reasonable Economic Use) Cj Demolition Permit ❑Conditional Use[C(a),C(d),or C]** El Single Family ❑Discretionary"D"or Unnamed Use Classification Q Garage Attached/Detached Special Use(Essential Public Facilities)** Q Manufactured Home °Boundary Line Adjustment CI Modular °Short Plat** Q Commercial* °Binding Site Plan** Q Change of Use OLong Plat** Q Address i Road Approach liPlanned Rural Residential Development(PRRD)/Amendments** CI Propane ❑Plat Vacation/Alteration** DAllowed`Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions*" DStormwater Management ❑Shoreline Management Substantial Development** OSite Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance OTemporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment DWireless Telecommunication* !]Jefferson County Shoreline Master Program Amendment OForest Practices Act/Release of Six-Year Moratorium *May require a Pre—Application Conference _ **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: ��? DESIGNATION OF AGENT I hereby designate&tQ ( -F,1)71, _to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE/Z, � ` Date: 07/27/2006 By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson Counly against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the pplication that he or she wants prior notice. L Signature:r,• CAA 3, c _Q j,L,Ar 4�.�- L C Date: o7a7rzoo6 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential lake"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your adion(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual andg non-tranJeral�Je lren si ility for adh ring to and mpl n��the ESA. The Applicant has read this disclai er and signsand dates it below, Signature: Ur l/�Lh ti e_ Date: 8/1/6 c.., / D:\PennitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc ' • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be a suming the responsibility of the General Contractor for the proposed project. Signature: .,- \_.. , C LLO 9,Q/` Date: � ��j /✓f �� 6 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New 0 Wood Existing: 0 Sewer O Addition ❑ Steel Proposed: Bank 0 Community System O Alteration/Remodel 0 Concrete Total: Height: I.:]Individual System ❑ Repair ❑ Masonry SEP Permit# El Demolition ID Other: Bedrooms: Water Supply: PP Y: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: ❑Public Total: Name of System: 0 If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 0 Underground Tank 0 Above ground Tank Size of Propane Tank: O Heat Stove 0 Cook Stove 0 Woodstove ❑Fireplace Insert CI Hot Water Tank in Pellet Stove in Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2nd Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish Initials: D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc itlah+ Pia~ • Scale: fin=50ft.Oin. Applicant: Site information Philip and Colleen Miller Parcel#:701051017 PO Box 95 Address:4952 Dabob Rd, Brinnon,WA 98230 Quilcene,WA 98376 'R a V pin) IF i '`t rr' I 7r.. If••,• Primary Contractor Site Services LLC SITESSL945CZ Phone:360-542-8301 or 360-661-2914 fax 360-854-0536 1500 E College Way,Suite A-289, Mount Vernon,WA 98273-5637 PERMIT # BLD jE4FE' a ' a+ 4Pi 06 - 0446 JEFFERSON COUNTY DCD 333' • ' 100%reserve area P � It Nw I'n \ a T Di connect es' 1,40 100' • C9Ex- x.Fac‘ \.) shed • 14' Pao \\\. j/�K ■ G 1 * parking fV "`Existing meter ped 7G N£ N 10 10' rPower pole 339' Dabob Road QS REVISED S Tj PLAN at dated��1'� t 0 Ce tio�f`�°� Has been APPROVED,�I o M t_PrG - `k33 by JEFFERSO O � DEPT.OF C 1 EV MENT^' 1.D 0(a`� SIGNATURE.